NPIMap

Organization Active NPI

Life Changing Behavioral Health Services

  • Community/Behavioral Health Agency
  • Fairmont, NC
National Provider Identifier
1265765606
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE CHANGING BEHAVIORAL HEALTH SERVICES
Practice address
314 S Main St
Fairmont, NC 28340-1906
Phone
(910) 628-9091
Fax
(910) 628-9093
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Luis Roman
Title
Coo
Phone
(910) 770-2682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

314 S Main St
Fairmont, NC 28340-1906

Mailing address

314 S Main St
Fairmont, NC 28340-1906
Phone (910) 628-9091

National Provider Directory

National Provider Directory
Tax ID family
Life Changing Behavioral Health Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1265765606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 S MAIN ST",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283401906",
            "telephone_number": "910-628-9091",
            "fax_number": "910-628-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S MAIN ST",
            "city": "FAIRMONT",
            "state": "NC",
            "postal_code": "283401906",
            "telephone_number": "910-628-9091",
            "fax_number": "910-628-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGING BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "910-770-2682",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.